Caring Texts, a strength-based, suicide prevention trial in 5 native communities: Research design and methods.
Caring Texts, a strength-based, suicide prevention trial in 5 native communities: Research design and methods.
复制标题
DOI：
10.1016/j.cct.2022.106966
复制
发表时间：
2022-12
影响因子：
2.2
通讯作者：
Comtois, Katherine Anne
中科院分区：
文献类型：
--
作者：
Hebert, Luciana E.;Fruhbauerova, Martina;Evanson, Anna;Bogic, Marija;Petras, Anthippy;Shaw, Jennifer;Muller, Clemma J.;Nelson, Lonnie;Comtois, Katherine Anne
尽管具有内在的优势和韧性，一些美洲印第安人和阿拉斯加原住民 (AI/AN) 社区的自杀率是所有种族和族裔群体中最高的。关爱接触是临床试验中唯一显示可以减少自杀的干预措施之一，但尚未在 AI/AN 环境中进行测试。比较增强型日常护理（对照）与采用适应文化的护理接触版本（干预）增强型日常护理在减少自杀意念、自杀企图和自杀相关住院治疗方面的有效性。我们正在全国五个 AI/AN 社区（南达科他州、蒙大拿州、俄克拉荷马州和阿拉斯加）实施一项关爱接触者的单盲随机对照试验。符合资格的参与者必须 (1) 有自杀倾向或在过去一年内曾尝试过自杀； (2) 年满 18 周岁； (3)人工智能/AN； (4) 能够说和读英语； （五）能够自愿参加； (6) 愿意通过短信、电子邮件或邮寄方式联系； (7) 能够表示同意。在同意和基线评估后，参与者被随机分配接受单独的增强型日常护理，或接受为期 12 个月（25 条消息）文化适应护理接触的增强型日常护理。随访评估在 12 个月和 18 个月时进行。如果有效，这项关爱联系人的研究将为减少研究社区自杀的计划提供信息，并为其他部落环境中关爱联系人的未来研究提供信息。讨论了在 COVID-19 大流行期间继续试验的修改。
Despite their intrinsic strengths and resilience, some American Indian and Alaska Native (AI/AN) communities experience among the highest rates of suicide of any racial and ethnic group. Caring Contacts is one of the only interventions shown to reduce suicide in clinical trials, but it has not been tested in AI/AN settings. To compare the effectiveness of Enhanced Usual Care (control) to Enhanced Usual Care augmented with a culturally adapted version of Caring Contacts (intervention) for reducing suicidal ideation, suicide attempts, and suicide-related hospitalizations. We are implementing a single blind randomized controlled trial of Caring Contacts in five AI/AN communities across the country (South Dakota, Montana, Oklahoma, and Alaska). Eligible participants have to be (1) actively suicidal or have made a suicide attempt within the past year; (2) at least 18 years of age; (3) AI/AN; (4) able to speak and read English; (5) able to participate voluntarily; (6) willing to be contacted by text, email or postal mail; and (7) able to provide consent. Following consent and baseline assessment, participants are randomized to receive either Enhanced Usual Care alone, or Enhanced Usual Care with 12 months (25 messages) of culturally adapted Caring Contacts. Follow-up assessments are conducted at 12 and 18 months. If effective, this study of Caring Contacts will inform programs to reduce suicide in the study communities as well as inform future research on Caring Contacts in other tribal settings. Modifications to continue the trial during the COVID-19 pandemic are discussed.
登录
查看更多内容
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
2
作者：
Brumback, Babette;Berg, Arthur
通讯作者：
Berg, Arthur
影响因子：
25.8
作者：
Comtois, Katherine Anne;Kerbrat, Amanda H.;Ries, Richard K.
通讯作者：
Ries, Richard K.
影响因子：
10.5
作者：
Beautrais, Annette L.;Gibb, Sheree J.;Mulder, Roger T.
通讯作者：
Mulder, Roger T.
影响因子：
3.3
作者：
Cerel, Julie;Maple, Myfanwy;Brown, Margaret
通讯作者：
Brown, Margaret